Night of Gala Credit Card Pre-Registration

Fields marked * require an entry.

Pre-register your credit card prior to noon on Saturday, November 5, 2016. Then when you arrive at the JDRF Hope Gala, you can breeze through Registration! Your credit card will not be charged unless you make a purchase at the JDRF Hope Gala.

Check the box for "I authorize JDRF Greater Chesapeake and Potomac Chapter to use the credit card entered on the submission page at event DC Hope Gala 2016"
Click "Next"
Fill out your contact information and credit card information
Check the box for "I agree to pay future charges, when I authorize them, according to card issuer agreement."
Click "Submit for Processing"

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event DC Hope Gala 2016.

I authorize Breakthrough T1D - Mid Atlantic - 4115 to use the credit card entered on the submission page at event DC Hope Gala 2016. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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Presenting Sponsor

Hope Sponsors

Mr. & Mrs. Thomas A. Faries

Mrs. John A. Manfuso

Dream Sponsors

Ms. Michelle Dolansky
Rebecca & Daniel Farrington
Lisa & Cass Panciocco
The Rapaport Family

Wish Sponsors

Mr. & Mrs. Brian & Robin Kelly

Mr. & Mrs. John & Lori Niehoff

Mr. & Mrs. Thorn & Sharis Pozen

Mr. & Mrs. William & Donna Roberts

Promise Sponsors

Aetna
Arnold & Porter
BakerHostetler
BNY Wealth Management
Genentech
Rich & Lynne Lucas
Ms. Karrie McMillan
Miller & Long
Navigant
Teknion Data Solutions
United Healthcare
WilmerHale

Wine Sponsor